Surgical Associates of Southwest Virginia, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL ASSOCIATES OF SOUTHWEST VIRGINIA, LLC

Practice address

2460 Lee Highway N
Suite 4
Pulaski, VA 24301

Phone

(540) 980-9660

Fax

(540) 980-9663

NPI assigned

Jun 17, 2006

Last updated

Dec 22, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Benjamin Calkins

Title

Vice President

Phone

(804) 237-7776

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Surgical Associates of SW Virginia, LLC (Mistake) Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Christian Steen, DO

  • Surgery Physician
  • Pulaski, VA
  • NPI 1518058650
  NPD (past)
• David Mark Countryman, M. D.

  • Surgery Physician
  • Charleston, SC
  • NPI 1770516163
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1801831524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 LEE HIGHWAY N",
            "address_2": "SUITE 4",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "24301",
            "telephone_number": "540-980-9660",
            "fax_number": "540-980-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LEE HIGHWAY N",
            "address_2": "SUITE 4",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "24301",
            "telephone_number": "540-980-9660",
            "fax_number": "540-980-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF SOUTHWEST VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "CALKINS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "804-237-7776"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801831524",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Associates of SW Virginia, LLC (Mistake)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southwest Surgical Associates, Inc.
• Robert Springer, CRNA
• Amber Stacy
• Eric Christian Steen, DO
• Sierra Stuart, LPN
• Mary Tekesky
• Thomas William Templeton, M.D.
• Chanda Tracy, RD
• Tuck Clinic of Chiropractic
• Christopher Utt

• Surgery Physician in Pulaski, VA
• Providers in Pulaski, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.